Examination of population-wide trends in barriers to cancer screening from a diffusion of innovation perspective (1987-2000)

Lila J Rutten, David E. Nelson, Helen I. Meissner

Research output: Contribution to journalArticle

80 Citations (Scopus)

Abstract

Background. Barriers to cancer screening may change over time as screening becomes more widespread. Methods. Using 1987, 1992, and 2000 National Health Interview Survey data, we examined population-wide trends in barriers to Pap, mammography, and colorectal screening (n =66,452). Results. Lack of awareness was the most common barrier for all screening tests; it decreased by 13.5 percentage points for mammography and by 4.6 percentage points for colorectal screening, but increased by 3.0 percentage points for Pap test from 1987 to 2000. Decreases in not recommended by a doctor were observed for mammography (from 20.5% to 3.7%) and colorectal screening (from 22.3% to 14.2%). Examination of trends in barriers among sociodemographic and health care access subgroups revealed disparities for each screening test. Conclusions. Although population-wide progress has been made in reducing barriers to screening, lack of awareness, and not recommended by a doctor remain important barriers, especially among traditionally underserved populations.

Original languageEnglish (US)
Pages (from-to)258-268
Number of pages11
JournalPreventive Medicine
Volume38
Issue number3
DOIs
StatePublished - Mar 2004
Externally publishedYes

Fingerprint

Diffusion of Innovation
Mammography
Early Detection of Cancer
Population
Papanicolaou Test
Vulnerable Populations
Health Surveys
Interviews
Delivery of Health Care

Keywords

  • Colorectal screening
  • Mammography
  • Mammography screening
  • Pap screening

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Examination of population-wide trends in barriers to cancer screening from a diffusion of innovation perspective (1987-2000). / Rutten, Lila J; Nelson, David E.; Meissner, Helen I.

In: Preventive Medicine, Vol. 38, No. 3, 03.2004, p. 258-268.

Research output: Contribution to journalArticle

@article{c1b1a9a8e134417a8e995a4f55fbaff0,
title = "Examination of population-wide trends in barriers to cancer screening from a diffusion of innovation perspective (1987-2000)",
abstract = "Background. Barriers to cancer screening may change over time as screening becomes more widespread. Methods. Using 1987, 1992, and 2000 National Health Interview Survey data, we examined population-wide trends in barriers to Pap, mammography, and colorectal screening (n =66,452). Results. Lack of awareness was the most common barrier for all screening tests; it decreased by 13.5 percentage points for mammography and by 4.6 percentage points for colorectal screening, but increased by 3.0 percentage points for Pap test from 1987 to 2000. Decreases in not recommended by a doctor were observed for mammography (from 20.5{\%} to 3.7{\%}) and colorectal screening (from 22.3{\%} to 14.2{\%}). Examination of trends in barriers among sociodemographic and health care access subgroups revealed disparities for each screening test. Conclusions. Although population-wide progress has been made in reducing barriers to screening, lack of awareness, and not recommended by a doctor remain important barriers, especially among traditionally underserved populations.",
keywords = "Colorectal screening, Mammography, Mammography screening, Pap screening",
author = "Rutten, {Lila J} and Nelson, {David E.} and Meissner, {Helen I.}",
year = "2004",
month = "3",
doi = "10.1016/j.ypmed.2003.10.011",
language = "English (US)",
volume = "38",
pages = "258--268",
journal = "Preventive Medicine",
issn = "0091-7435",
publisher = "Academic Press Inc.",
number = "3",

}

TY - JOUR

T1 - Examination of population-wide trends in barriers to cancer screening from a diffusion of innovation perspective (1987-2000)

AU - Rutten, Lila J

AU - Nelson, David E.

AU - Meissner, Helen I.

PY - 2004/3

Y1 - 2004/3

N2 - Background. Barriers to cancer screening may change over time as screening becomes more widespread. Methods. Using 1987, 1992, and 2000 National Health Interview Survey data, we examined population-wide trends in barriers to Pap, mammography, and colorectal screening (n =66,452). Results. Lack of awareness was the most common barrier for all screening tests; it decreased by 13.5 percentage points for mammography and by 4.6 percentage points for colorectal screening, but increased by 3.0 percentage points for Pap test from 1987 to 2000. Decreases in not recommended by a doctor were observed for mammography (from 20.5% to 3.7%) and colorectal screening (from 22.3% to 14.2%). Examination of trends in barriers among sociodemographic and health care access subgroups revealed disparities for each screening test. Conclusions. Although population-wide progress has been made in reducing barriers to screening, lack of awareness, and not recommended by a doctor remain important barriers, especially among traditionally underserved populations.

AB - Background. Barriers to cancer screening may change over time as screening becomes more widespread. Methods. Using 1987, 1992, and 2000 National Health Interview Survey data, we examined population-wide trends in barriers to Pap, mammography, and colorectal screening (n =66,452). Results. Lack of awareness was the most common barrier for all screening tests; it decreased by 13.5 percentage points for mammography and by 4.6 percentage points for colorectal screening, but increased by 3.0 percentage points for Pap test from 1987 to 2000. Decreases in not recommended by a doctor were observed for mammography (from 20.5% to 3.7%) and colorectal screening (from 22.3% to 14.2%). Examination of trends in barriers among sociodemographic and health care access subgroups revealed disparities for each screening test. Conclusions. Although population-wide progress has been made in reducing barriers to screening, lack of awareness, and not recommended by a doctor remain important barriers, especially among traditionally underserved populations.

KW - Colorectal screening

KW - Mammography

KW - Mammography screening

KW - Pap screening

UR - http://www.scopus.com/inward/record.url?scp=0842346912&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0842346912&partnerID=8YFLogxK

U2 - 10.1016/j.ypmed.2003.10.011

DO - 10.1016/j.ypmed.2003.10.011

M3 - Article

C2 - 14766107

AN - SCOPUS:0842346912

VL - 38

SP - 258

EP - 268

JO - Preventive Medicine

JF - Preventive Medicine

SN - 0091-7435

IS - 3

ER -